上尿路上皮癌:肿瘤能整体切除吗?

A. Martov, D. V. Ergakov, A. Andronov
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引用次数: 0

摘要

上尿路上皮癌(UTUC)的诊断和治疗一直是泌尿外科的重要问题。在保留器官的手术中,UTUC整体切除仍然是不可能的。最典型的泌尿系统手术是电外科手术,钬或铥激光肿瘤汽化。我们报告一个使用新型超脉冲铥光纤激光器(SPTFL, FiberLase U3)在输尿管镜下整体切除UTUC的临床病例。讨论了该领域的最新创新和趋势。整体输尿管镜肿瘤切除的技术步骤允许诊断验证,pT分期和手术边缘的识别。激光UTUC切除的进一步创新包括激光脉冲长度的调制和术前肿瘤特征与整体切除可能性之间的相关性的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Upper tract urothelial carcinoma: can the tumor be removed en bloc?
Diagnosis and treatment of upper tract urothelial carcinoma (UTUC) remain important problems of clinical urology. UTUC en bloc i.e. in one-piece removal during organ-sparing surgery is still hardly possible. The most typical endourological operations are either electrosurgery, holmium or thulium YAG laser tumor vaporization.We present a clinical case of ureteroscopic en bloc UTUC removal using a new super pulse thulium fiber laser (SPTFL, FiberLase U3). Recent innovations and trends in this field are also discussed. The technical steps of en bloc ureteroscopic tumor removal allowing for diagnosis verification, identification of pT stage and surgical margin are described. The further innovations in laser UTUC removal include modulation of laser pulse length and development of the correlation between preoperative tumor characteristics and possibility of en bloc removal.
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